Provider Demographics
NPI:1922219013
Name:NEWMAN, SHELILEAH RAMSEY (MD)
Entity Type:Individual
Prefix:
First Name:SHELILEAH
Middle Name:RAMSEY
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHELILEAH
Other - Middle Name:NICOLE
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 QUEENS RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3253
Mailing Address - Country:US
Mailing Address - Phone:704-200-0841
Mailing Address - Fax:
Practice Address - Street 1:200 QUEENS RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3253
Practice Address - Country:US
Practice Address - Phone:704-200-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1014712085R0001X
NC2004-015662085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000035300Medicaid
NC1922219013Medicaid
FL61802Medicare PIN
NCNCP092AMedicare PIN